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KEYNA GRAHAM-HEINE, PLLC

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Company Details

Legal Name: KEYNA GRAHAM-HEINE, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: June 18th 2025
Expiration date: 30 Jun 2026
UBI Number: 605 917 147
ZIP code: 98499
City: Lakewood
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 9116 GRAVELLY LAKE DR SW STE 107, LAKEWOOD, WA, 98499-3148, UNITED STATES

Contact Details

E-Mail: DR.GRAHAM@THEGRAHAMPRACTICE.COM
Phone Number: +1 253-364-6054

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
THE PRACTICE NW Registered Agent 9116 GRAVELLY LAKE DR SW, SUITE 107, LAKEWOOD, WA, 98499-3148, UNITED STATES

Key Officers & Management

Name Role Address
KEYNA GRAHAM-HEINE Executor 1870 N SKYLINE DR, TACOMA, WA, 98406-1931, UNITED STATES
KEYNA GRAHAM-HEINE Governing Person -

National Provider Identifier

NPI Number:
1093601015
Certification Date:
2025-07-10

Authorized Person:

Name:
KEYNA GRAHAM-HEINE
Role:
OWNER, MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2532186974
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